This document recognizes the growing awareness of alcohol problems faced by the elderly during the last 10 to 15 years and cites results of studies conducted to examine the extent of these problems. It then presents a community treatment continuum designed by a coalition of concerned individuals in the northwestern part of the United States. The…

Alcoholism is a widespread but neglected problem in the lesbian community. The myths and realities of lesbian experience are described and suggested treatment strategies that address the special problems and needs of lesbian alcoholics are given. The literature is reviewed and the need to overcome homophobia among social workers and in agencies is…

Life in the alcoholic family is characterized by inconsistency, unpredictability, distrust, denial, and lack of affection, attention, and interest by the parents. Children who are raised in such an environment experience a loss of self-esteem and suffer long- and short-term negative consequences. The role of the counselor and counseling strategies…

The matching hypothesis, presented in this study, predicts that designing treatment according to patient characteristics leads to better outcomes. A study was conducted to collect data on current practices of patient-treatment matching in alcohol treatment. A questionnaire was completed by 70 directors of Veterans Administration inpatient alcohol…

A cluster analysis of 282 rehabitation-need profiles of alcoholic clients resulted in extraction of seven distinct groups. Each group was described in terms of its level of psychological-need satisfaction related to the seven scales of the Human Service Scale. Various problems of adjustment for each group were discussed. (Author)

There is growing acknowledgement of the association between family violence and alcohol use. A study was conducted to examine the role that abuse plays in the lives of women and to investigate the relationship between alcohol and violence. Data were collected from 35 recovering female alcoholics and 35 nonalcoholic women on their sexual experience…

Examines relationships between Sensation-Seeking Scale (SSS) and vocational interests measured by the Kuder and Strong Vocational Interest Blank, among alcoholics and undergraduates. Results support construct validity of the SSS and provide further evidence of modes of expression of stimulus-seeking needs in personality. (Author/CJ)

Surveyed Family Service America member agencies to assess impact of impetus to look to private sector for provision of services. Found that family service agencies experienced tremendous growth in 1980s in both client caseloads and areas of service provision. Family service agency client was likely to be minority person seeking counseling within…

Considers dilemma of elementary school-aged children from alcoholic families. Contends that elementary school experiences can be pivotal for these students and that educators need to understand nature, scope, and implications of chemical dependency to help these children. Describes life in alcoholic household and discusses possible feelings and…

Studied 89 clients in case management program, most of whom were identified as heavy users of acute care and psychiatric emergency rooms. Findings revealed that 50% were adult children of alcoholics and that many had been sexually and physically abused as children or adults. None had been asked about or appropriately treated for these aspects of…

The format for this curriculum guide, written for nurse practitioner faculty, consists of learning objectives, content outline, teaching methodology suggestions, references and recommended readings. Part 1 of the guide, Recognition of Early and Chronic Alcoholism, deals with features of alcoholism such as epidemiological data and theories,…

Provides a conceptual framework for discussing the role of alcohol in a person's life and for planning appropriate interventions when abuse is evidenced. Discusses drive reduction and the dynamic of alcohol involvement through four involvement stages. (Author/RC)

This document presents witness testimonies and prepared statements from the Congressional hearing called to examine mental health trends for treating adolescents with emotional or substance abuse problems. Committee chairman George Miller voices concern that while insurance coverage changes and third party health care reimbursements are expanding…

This report assesses the needs of and resources for children of alcoholic parents, and recommends strategies based on the identification of service gaps. The number, characteristics, life experiences, feelings, coping mechanisms, and problems of children of alcohol parents are discussed. Needs common to this group and factors which variably…

This report is based on the results of the National Drug/Alcohol Collaborative Project which examined the prevalence of multiple substance use, particularly the combined use of drug and alcohol. The introductory chapter describes the background and purpose of the project. Chapter Two reviews the literature about multiple substance abuse and…